J Clin Exp Dent. 2017;9(1):e21-6.
Journal section: Periodontology Publication Types: Research
Cortical lamina technique for lateral ridge augmentation
doi:10.4317/jced.53008 http://dx.doi.org/10.4317/jced.53008
Cortical lamina technique: A therapeutic approach for lateral ridge augmentation using guided bone regeneration Shree-Lakshmi Deepika-Penmetsa 1, Raison Thomas 2, Tarun-Kumar Baron 3, Rucha Shah 4, Dhoom-Singh Mehta 5
BDS, Post Graduate Resident, Department of Periodontics, Bapuji Dental College & Hospital, Davangere- 577004, Karnataka, India 2 MDS, Professor, Department of Periodontics, Bapuji Dental College & Hospital, Davangere- 577004, Karnataka, India 3 MDS, Professor, Department of Periodontics & Implantology, Bapuji Dental College & Hospital, Davangere- 577004, Karnataka, India 4 MDS, Senior Lecturer, Department of Periodontics, Bapuji Dental College & Hospital, Davangere- 577004, Karnataka, India 5 MDS, FICD, FADI, FISOI., Professor & Head, Department of Periodontics, Bapuji Dental College & Hospital, Davangere577004, Karnataka, India 1
Correspondence: Department of Periodontics Bapuji Dental College & Hospital Davangere- 577004, Karnataka, India [email protected]
Received: 30/01/2016 Accepted: 28/04/2016
Deepika-Penmetsa SL, Thomas R, Baron TK, Shah R, Mehta DS. ������ Cortical lamina technique: A therapeutic approach for lateral ridge augmentation using guided bone regeneration. J Clin Exp Dent. 2017;9(1):e21-6. http://www.medicinaoral.com/odo/volumenes/v9i1/jcedv9i1p21.pdf Article Number: 53008 http://www.medicinaoral.com/odo/indice.htm © Medicina Oral S. L. C.I.F. B 96689336 - eISSN: 1989-5488 eMail: [email protected] Indexed in: Pubmed Pubmed Central® (PMC) Scopus DOI® System
Abstract
Background: The present study aimed at evaluating the efficacy of a novel technique, the bone lamina technique, in horizontal ridge augmentation clinically & radiographically using a combination of allogenic cortical shell, particulate xenograft and resorbable collagen membrane. Material and Methods: Localized horizontal ridge defects, in ten patients (6 male, 4 female), with bucco-palatal ridge width less than 5 mm were included in this study. Localised ridge augmentation was performed using bone lamina technique with mineralised allogenic shell of 1 mm thickness trimmed to the appropriate size using stereolithographic models and fixed to the recipient site with stainless steel micro-screws of 1 mm diameter. The space between the shell & host bone was filled with particulate xenograft followed by placement of collagen membrane and primary closure of the site. Clinical parameters including ridge width before & after flap reflection & radiographic (CBCT) ridge width measurements were recorded pre-operatively,and six months after the augmentation procedure. Results obtained were analysed statistically. Results: The mean clinical ridge width before flap reflection (BFR), after flap reflection (AFR) & radiographically was 3.7 ± 0.74 mm, 2 ± 0.70 mm & 1.77 ± 0.71 mm respectively at baseline which increased to 6.8 ± 0.95 mm, 5.15 ± 0.98 mm & 4.90 ± 0.90 mm with a mean gain in ridge width of 3.1 ± 0.63 mm (p< 0.005), 3.15 ± 0.63 mm (p
Journal section: Periodontology Publication Types: Research
Cortical lamina technique for lateral ridge augmentation
doi:10.4317/jced.53008 http://dx.doi.org/10.4317/jced.53008
Cortical lamina technique: A therapeutic approach for lateral ridge augmentation using guided bone regeneration Shree-Lakshmi Deepika-Penmetsa 1, Raison Thomas 2, Tarun-Kumar Baron 3, Rucha Shah 4, Dhoom-Singh Mehta 5
BDS, Post Graduate Resident, Department of Periodontics, Bapuji Dental College & Hospital, Davangere- 577004, Karnataka, India 2 MDS, Professor, Department of Periodontics, Bapuji Dental College & Hospital, Davangere- 577004, Karnataka, India 3 MDS, Professor, Department of Periodontics & Implantology, Bapuji Dental College & Hospital, Davangere- 577004, Karnataka, India 4 MDS, Senior Lecturer, Department of Periodontics, Bapuji Dental College & Hospital, Davangere- 577004, Karnataka, India 5 MDS, FICD, FADI, FISOI., Professor & Head, Department of Periodontics, Bapuji Dental College & Hospital, Davangere577004, Karnataka, India 1
Correspondence: Department of Periodontics Bapuji Dental College & Hospital Davangere- 577004, Karnataka, India [email protected]
Received: 30/01/2016 Accepted: 28/04/2016
Deepika-Penmetsa SL, Thomas R, Baron TK, Shah R, Mehta DS. ������ Cortical lamina technique: A therapeutic approach for lateral ridge augmentation using guided bone regeneration. J Clin Exp Dent. 2017;9(1):e21-6. http://www.medicinaoral.com/odo/volumenes/v9i1/jcedv9i1p21.pdf Article Number: 53008 http://www.medicinaoral.com/odo/indice.htm © Medicina Oral S. L. C.I.F. B 96689336 - eISSN: 1989-5488 eMail: [email protected] Indexed in: Pubmed Pubmed Central® (PMC) Scopus DOI® System
Abstract
Background: The present study aimed at evaluating the efficacy of a novel technique, the bone lamina technique, in horizontal ridge augmentation clinically & radiographically using a combination of allogenic cortical shell, particulate xenograft and resorbable collagen membrane. Material and Methods: Localized horizontal ridge defects, in ten patients (6 male, 4 female), with bucco-palatal ridge width less than 5 mm were included in this study. Localised ridge augmentation was performed using bone lamina technique with mineralised allogenic shell of 1 mm thickness trimmed to the appropriate size using stereolithographic models and fixed to the recipient site with stainless steel micro-screws of 1 mm diameter. The space between the shell & host bone was filled with particulate xenograft followed by placement of collagen membrane and primary closure of the site. Clinical parameters including ridge width before & after flap reflection & radiographic (CBCT) ridge width measurements were recorded pre-operatively,and six months after the augmentation procedure. Results obtained were analysed statistically. Results: The mean clinical ridge width before flap reflection (BFR), after flap reflection (AFR) & radiographically was 3.7 ± 0.74 mm, 2 ± 0.70 mm & 1.77 ± 0.71 mm respectively at baseline which increased to 6.8 ± 0.95 mm, 5.15 ± 0.98 mm & 4.90 ± 0.90 mm with a mean gain in ridge width of 3.1 ± 0.63 mm (p< 0.005), 3.15 ± 0.63 mm (p
